How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $15.85 | Facility | None | $12.02 | $12.02 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $12.02 Typical High $15.85 | Professional | None | $11.75 | $12.02 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $16.22 Typical High $104.71 | Professional | None | $10.00 | $16.22 | $104.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.00 Median $2.29 Typical High $22.91 | Professional | RR · Rental | $1.00 | $2.29 | $22.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.59 Median $13.18 Typical High $77.62 | Professional | UE · Used equipment | $7.59 | $13.18 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
CareSource Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $13.49 Typical High $13.49 | Facility | None | $9.55 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $25.70 | Professional | None | $11.48 | $11.48 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $107.15 | Professional | None | $13.49 | $19.50 | $107.15 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.55 Typical High $26.30 | Professional | None | $6.46 | $9.55 | $26.30 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.78 Median $1.82 Typical High $2.40 | Professional | 55 · Aftercare only | $1.78 | $1.82 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $1.20 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.17 | $1.20 | $1.58 |
Where Georgia sits
The same service costs 2.8 times more in Hawaii than in Connecticut. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 18th of 51
$15.85
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.